Correction of conditions caused by herniated discs of the lumbar spine, on the example of using the thermotherapy stimulator massager

Background. Compression of the lumbar or first crural roots of the spinal nerves by altered disc components is the basis of radiculopathies manifested by back pain, movement and sensory disorders. The spondyloarthrosis often observed in this case accompanies not only the elderly, but is also observed in 25-30 year olds. Here, congenital anomalies, vertebral instability, spondylolisthesis and spondylolysis, inadequate distribution of loads on the spinal compartments and, finally, degenerative-dystrophic changes themselves are considered as causes. The latest revision of clinical recommendations confirms the expediency of using non-drug methods of treatment against the background of drug correction. In particular, in order to enhance analgesic, anti-inflammatory, anti-edema and myorelaxing effects, methods of physiotherapy, reflexology, massage, physical therapy and balneotherapy are used.

Results. The paper presents the features of clinical manifestations of herniated discs of the lumbosacral spine and options for correcting the resulting conditions. Among the techniques of non-drug therapy used for a given purpose, the methods of physiotherapy, reflexology, massage and therapeutic exercise are distinguished. Here, for obvious reasons, preference is given to equipment that includes various technologies of influence. One of these devices are massagers that combines the therapeutic possibilities of massage, electrical stimulation, thermotherapy and traction effects. In this regard, a separate part of the work is devoted to the detailing of these approaches, with the clarification of mechanisms and their effectiveness. At the same time, a series of his own works confirmed the effectiveness of the noted therapeutic approaches for "back pain", used even as a monomethod. In this case, the use of a combined technique, characteristic of this type of massager, can even cause potentiation of effects in the correction of conditions associated with herniated discs of the lumbosacral spine. 

1. Agasarov L. G. Reflexotherapy in common diseases of the nervous system. Moscow: Arnebia, 2017. 240 P. (In Russ.)

2. Agasarov L. G., Konchugova T. V., Drobyshev V. A., Fesyun A. D. Point electrical stimulation in the practice of medical rehabilitation. D. Acupoint electrical stimulation in the practice of medical rehabilitation. MOSCOW: GEOTAR, 2025. 56 P. (In Russ.)

3. Agasarov L. G., Saakyan E. S., Konchugova T.V., Apkhanova T. V., Yurova O. V. Spot Drug Stimulation: а Randomized Study of 90 Patients with Lumbosacral Dorsopathies. Vestnik vosstanovitelnoi meditsiny. 2023; 22(1): 80-86. (In Russ.) https://doi.org/10.38025/2078-1962-2023-22-1-80-86

4. Voitenko R. M., Dubinina I. A., Korobov M. V. Reference book on medical and social expertise and rehabilitation.SPb: Gippokrat, 2003.856 P. (In Russ.)

5. Gushcha A. O., Arestov S. O., Kascheev A. A. Modern approaches to the treatment of herniated intervertebral discs of the lumbosacral spine. Nervous Diseases. O., Kascheev A. A. Modern approaches to the treatment of herniated intervertebral discs of the lumbosacral spine. Nervnye bolezni. 2018; 3: 19-25. (In Russ.)

6. Clinical recommendations. Degenerative diseases of the spine. 2021-2022-2023 (04.03.2022). Approved by the Ministry of Health of the Russian Federation. (In Russ.)

7. Krylov V. V., Lebedev V. V., Grin A. A., et al. The state of neurosurgical aid to patients with injuries and diseases of the spine and spinal cord in Moscow (according to the data of neurosurgical hospitals of the Health Committee for 1997-1999). Neirokhirurgiya. 2001; 1: 60-66. (In Russ.)

8. Manukovsky V. A. Centralized system of rendering specialized surgical aid to patients with acute nontraumatic pathology of the spine in a modern metropolis. Zhurnal «Khirurgiia pozvonochnika». 2017; 2: 41-49. (In Russ.)

9. Nuvakhova M. B. Innovative technologies in sanatorium-resort treatment of patients with dorsopathy. Vestnik vosstanovitelnoi meditsiny. 2020; 6 (100): 66-74. https://doi.org/10.38025/2078-1962-2020-100-6-66-74. (In Russ.)

10. Парфенов В. А., Исайкин А. И. Боли в поясничной области. М.: 2018. 200 с. Parfenov V. A., Isaikin A. I. Pain in the lumbar region. М.: 2018. 200 P. (In Russ.)

11. Podchufarova E. V., Yakhno N. N., Alexeev V. V., et al. Chronic pain syndromes of lumbosacral localization: the importance of structural disorders and psychological factors. Bol. 2003; 1: 38-43. (In Russ.)

12. Ponomarenko G. N. Massager-stimulator in clinical practice: scientometric analysis of evidence-based research. Lechaschi Vrach. 2024; 4 (27): 2-7. (In Russ.)

13. Khan M. A., Pogonchenkova I. V., Talkovsky E. M., Vybornov D. Yu., Kuyantseva L. V., Tarasov N. I., Koroteev V. V. Methods of electrostimulation in scoliosis in children: a review of the literature. Vestnik vosstanovitelnoi meditsiny. 2024; 23 (5): 116-124. https://doi.org/10.38025/2078-1962-2024-23-5-116-124. (In Russ.)

14. Chertkov A. K., Kutepov S. M., Mukhochev V. A. Treatment of osteochondrosis of the lumbar spine by prosthetics of intervertebral discs with functional endoprostheses. Travmatologiia i ortopediia Rossii. 2000; 3: 58-62. (In Russ.)

15. Sheiko G. E., Belova A. N., Karyakin N. N., Daminov V. D., Shabanova M. A., Ananiev R. D., Sushin V. O., Vorobeva O. V. Organization of remote rehabilitation in the Russian Federation: literature review. Vestnik vosstanovitelnoi meditsiny. 2023; 22 (4): 114-128. https://doi.org/10.38025/2078-1962-2023-22-4-114-128. (In Russ.)

16. Asiri F., Tedla J. S., Alshahrani M. Effects of patient-specific three-dimensional lumbar traction on pain and functional disability in patients with lumbar intervertebral disc prolapse. Niger J Clin Pract. 2020; 23 (4): 498-502S.

17. Bervoets D. C., Luijsterburg P. A., Alessie J. J., et al. Massage therapy has short-term benefits for people with common musculoskeletal disorders compared to no treatment: a systematic review. J Physiother. 2015; 61 (3): 106-116. DOI: 10.1016/j.jphys.2015.05.018. Epub 2015 Jun 17. PMID: 26093806.

18. Deyo R. A., Mirza S. K. Clinical practice. Herniated Lumbar Intervertebral Disk. N Engl J Med. 2016 ; 374 (18): 1763-7172.

19. Furlan A. D., Giraldo M., Baskwill A., et al. Massage for low-back pain. Cochrane Database Syst Rev. 2015; 2015 (9): CD001929. DOI: 10.1002/14651858.CD001929.pub3. PMID: 26329399; PMCID: PMC8734598.

20. Konstantinou K., Dunn K. M., Ogollah R., Lewis M., van der Windt D., Hay EMATLAS Study Team. Prognosis of sciatica and back-related leg pain in primary care: the ATLAS cohort. Spine J. 2018; 18: 1030-1040.

21. Liu Z.-Z., Wen H.-Q., Zhu Y.-Q., et al. Short-Term Effect of Lumbar Traction on Intervertebral Discs in Patients with Low Back Pain: Correlation between the T2 Value and ODI/VAS Score. Cartilage. 2021; 13 (1_suppl): 414-423S.

22. Macki M., Hernandez-Hermann M., Bydon M., et al. Spontaneous regression of sequestrated lumbar disc herniations: Literature review. Clin Neurol Neurosurg. 2014; 120: 136-141.

23. Nordberg C. L., Boesen M., Ludger G., et al. Positional changes in lumbar disc herniation during standing or lumbar extension: a cross-sectional weightbearing MRI study. Eur Radiol. 2021; 31 (2): 804-812.

24. Stafford M. A., Peng P., Hill D. A. Sciatica: a review of history, epidemiology, pathogenesis, and the role of epidural steroid injection in management. British journal of anaesthesia. 2007; 99 (4): 461-473.

25. Sun Z., Zhang M., Zhao X. H., et al. Immune cascades in human intervertebral disc: the pros and cons. Int J Clin Exp Pathol. 2013; 6: 1009-1014.

26. Vahid Abdollah V., Parent E. C., Su A., et al. Could compression and traction loading improve the ability of magnetic resonance imaging to identify findings related to low back pain? Musculoskelet Sci Pract. 2020; 50: 102250.

27. Wang W., Long F., Wu X., et al. Clinical Efficacy of Mechanical Traction as Physical Therapy for Lumbar Disc Herniation: A Meta-Analysis. Comput Math Methods Med. 2022; Jun 21: 5670303.

28. Yuan S. L., Matsutani L. A., Marques A. P. Effectiveness of different styles of massage therapy in fibromyalgia: a systematic review and meta-analysis. Man Ther. 2015; 20 (2): 257-264. DOI: 10.1016/j.math.2014.09.003. Epub 2014 Oct 5. PMID: 25457196.